The Africa Open Data Conference which came up last week (17th to 21st of July) was here and gone, but to me, the conference was overrated. Aside from the fact that the conference was loosely planned as the final agenda was not up until after the first day of the event was out of sight.

The site visitation was unwelcoming with many events on Eventbrite and I end up struggling to register for the session as I have to open more than five tabs to check event and register for what will interest me while thinking of the Uber cost too. But well, that is by the way.

The five days event witness different data experts from various fields and walks of life while not leaving behind the pro and the pre data users.

One of the biggest takeaway from the event is the commitment by the government of Ghana with prominent comment from the minister of Communication who announces the interoperability plan to join data for development across government.

As good as this sounds, the Nigerian in me would not agree to that kind of commitment.  No No, I do not want to sound pessimistic, but I did have some point to backup my cynical argument.

Just on the 31st January 2017, the Vice President of Ghana, Dr Mahamadu Bawumia while talking about the Right to Information (RTI) bill and the government’s resolve to fight corruption at the Good Corporate Governance Initiative. He stated that “we are going to push the parliament to make necessary amendments, and if I had it my way, it should be passed within 100 days of this government”.

This is July, and the government is yet to pass the bill.

Furthermore, the Minister for Information on 3rd of May 2017 during the International Press Freedom Day made a declaration on behalf of the government. He said that “We have sent the Right to Information (RTI) Bill to the Parliament, it is in there that in Parliament Session of May to July 2017, the RTI bill will be before them for debate and passage. It is non-negotiable”  while it is public knowledge that the parliament is scheduled to rise on 2nd August 2017, it should be noted that the bill has been negotiated out as a non-priority draft bill.

It is exciting to see the president of Ghana HE Nana Addo Dankwa Akufo-Addo also joining his voice to the commitment of his cabinet as he said that Ghana is committed to making full use of#opendata. It must work in Ghana for the benefit of the citizens

While also noting that he said “The implementation of these recommendations is driving our open data initiative, as we work also towards achieving the SDGs. It is the intention of government also to ensure the long overdue passage of the Right to Information Bill by Parliament” he said.

He said the government was strengthening the data ecosystem, establishing strategic partnerships, and creating a harmonized policy and enabling environment for Open Data.Africa’s advancement and sustainable development would materialize when the Continent leverages on the vast and integrated opportunities offered by the employment of information and data, President Nana Addo Dankwa Akufo-Addo has noted.

But, as much as I would have loved to be excited by the promises of the moon by these politicians, the Nigerian in me tells me that these guys cannot be trusted and hence, the only major takeaway from the conference which is the government commitment is overrated.

Even if I should distrust the Nigerian in me which would leave me with the optimistic option that the government of Ghana would be passing the bill, it should be noted that the Nigerian Freedom of Information  Act which was passed in 2011, is still suffering from numerous challenges.

Most access to information laws in the sub-Saharan region still have exemptions limiting implementation #AODC17

And also, in terms of the usage of the FOI bill for transparency and accountability, it should be noted that citizens are so busy trying to survive that they don’t have time to follow their money.

As a data for development users, Follow the money isn’t only about government funds, grants and debts should also be followed. #AODC17 #AODC2017 #ATI #OPENCONTRACTING

Although I will rate the conference below average, I learned some fundamental lessons which I will love to share with readers, and they are;

• The revolution of data is that citizens have the power to speak.
• When a community has data, they have power.
• Collaboration in data collections and use of data must be oriented with the citizens and not the government.
• Many decisions have been made by the government, like “where do government build public health care” and these are usually political decisions and not decisions backup by data.
• We have inefficient use of resources in Africa because decisions are not made based on data.
• Questions like, how can we make government more responsible and efficient in the distribution of fertilizers is a question which can be answered by data, and that is if the government takes data seriously.
• Duplication of data collection effort should be mitigated with the use of central database and
• Data must be shared with within data players for active collaborations.

As a Follow the Money enthusiast, I am glad to be a part of this event as networking was made to build the followership and adaptability of follow the money model as a tool for transparency and accountability in and outside of Africa.

The idea of a National Health Insurance Scheme in Nigeria was first attempted in 1962 under the leadership of the then Minister of Health, Dr M.A Majekodunmi. In the last four decades, the fight to have a health insurance system that works has been an arduous journey of sorts, fraught with plenty complexities and peculiarities.

The overarching idea behind a health insurance scheme is to improve the health of all Nigerians at an affordable cost. In 2016, the Executive Secretary of the National Health Insurance Scheme (NHIS), Professor Usman Yusuf mentioned that in the 12 years of the scheme’s existence, after it was officially signed into law in 2005 by President Olusegun Obasanjo, the scheme covers only about 1% of Nigerians. To say that this is a failure would be stating things mildly. This inability and ineffectiveness as well as the shroud of corruption that has covered the scheme from its inception are major factors that have led to the call for the repeal of the NHIS Act and the enactment of a new Act in its place. One of the major differences now in the Act is the fact that states can now have their own health insurance schemes. This has already resulted in a number of states such as Lagos, Cross River, Kwara, Kano etc signing their state Health Insurance Acts into law. This fragmentation of the pool has both its pros and cons. The pros being that with states being in charge, desired healthcare services will now become a step closer to the people while the cons will be that the pool of funds will have been fragmented, meaning that states have to maneuver whatever financing mechanism possible to get as much money as they can into the funding pool. Some of the strategies that are being employed by some of the states include: making the scheme compulsory for all state residents, compulsory solidarity contributions from residents who are already on private health insurance schemes, sourcing for lump sum contributions from philanthropists etc.

While all of these sound very interesting, one major question that has been on the lips of development enthusiasts is “will these laws and the inherent taxation of the people translate to better health services for the people? Will it lead to the overarching goal of achieving Universal Health Coverage in Nigeria? Will the state governments do a better job of providing the necessary social infrastructure? Will the social contract between the people and the government be strengthened in this new arrangement?”

speaking in a panel session at the event

These are a few of the questions we asked at a recent experience sharing meeting on health insurance for selected states in Nigeria. The meeting which was hosted by Nigeria health Watch and Christian Aid brought together state officials, media personnel, Civil society organisations working in the health space as well as members of the donor community

As much as we may not have answers to some of these questions now because they will only be answered in time as the schemes kick off in the states, we can however make a few postulations:

1. The above questions can only be answered with a YES if the state governments beef up the existing health facilities and strengthen the health systems within the states. This should also be accompanied by appropriate accountability mechanisms to ensure that the monies pooled are utilized as they should be and to the fullest benefit of the people.
2. The states should not see the Health Insurance scheme as just another method of revenue generation or another political mandate to be checked on a list or as a tool for campaigning in 2019. Rather, the programs and activities of the scheme should have the health of the people at its core.
3. The National Health Insurance Agency needs to strengthen its oversight and regulatory responsibility to ensure that the Health Maintenance Organisations (HMOs) do not run amok and appropriate sanctions be put in place and implemented for defaulters.
4. Most importantly is the fact that the states need to understand that for the scheme to work, a good part of the state budgets need to be committed to the health sector to beef up capital health infrastructure at both the state and Primary Health care levels and it should be clear that the funds from the health insurance pool are not meant for infrastructural development.
5. Finally, the state governments need to understand that the citizens are major stakeholders in this process as such, they must be carried along every step of the way; they should be able to contribute to the entire decision making process, not just making monetary contributions, there should be a system for addressing the inquiries, complaints and grievances of the people as they arise and the state governments must ensure that they are as responsive as they can be in this regard.

Having successfully supervising more than 10 campaigns in more than 10 communities with more than 7 community reporters, I can boastfully say I have moved to become a follow the money evangelist. The passion for seeing the change I wished for keep pushing me and the first – hand knowledge of the local communities in Nigeria as someone who spent a significant part of his life in the village really paves more ways for me to understand what the struggles in the marginalised communities could be like.

As someone who constantly speaks, mentor and train community reporters, I am always trying to see things with their eyes as most times, I get the information as it is hot. Hence, this led me to the majority of my decisions in the organisation.

As an organisation that is almost clocking its 5 years of existence, Connected Development has reached the heart of many marginalised communities in Nigeria, and the love of the community led us to our constant reinvention of our process and workflows.

In Oludotun’s blog titled, “Taming the Monster in Nigeria Budget System“, he made it cleared that; Many developed and developing countries are still working towards linking performance to public expenditures, framework or strategy. If these linkages are not made, there will be no way to determine if the budgetary allocations that the support programs are ultimately supporting are successful.

As such, it can be collectively agreed on that the challenges in the spending of the Nigerian government is not about what to spend but about if the monies allocated is actually been judiciously used or not which is a big question that follow the money seeks to answer.

As written by Olayiwola Victor Ojo in his paper titled, “Ethnic Diversity In Nigeria“, it is presented clearly that the polity Nigeria is one of the most ethnically divided society globally with diverse ethnic cocoons and myriads of dialect. And as such, it may be difficult to Follow the Money in all the local communities in Nigeria and the best approach to solving this diversity problem to empower the communities is to train the locals on how to follow the money, and this has always been the bane of operation of follow the money which makes us  have community reporters in almost all states of Nigeria with the goal of reaching all wards in the country.

This is not only a proposition or goal of the organisation, we also share this as a part of the purpose of the organisation which is to empower the marginalised communities in Nigeria through our little effort which made us have a community of follow the money enthusiasts.

In all of these, Mark Zuckerberg in his speech at Havard made it known that membership in communities is declining. Many people feel disconnected and depressed and are trying to fill a void. And in our own little way, we are building a community of people who will Follow the Money and become a champion in the Nigeria we aim to see in years to come, this cannot be possible without the sense of belonging to a community who are attached to a purpose of making the government function for the people it is meant to serve.

According to Mark, Change starts locally. Even global changes start small and we hope our little change will have effects the communities to be proactive and ask the government the right question as to demanding for good governance, we hope they will be inspired to know and seek to know what is budgeted for them as a community and they would always request for it and also, we hope to give a voice to that champion who is ready to take a walk and give a voice to his/her community by becoming a champion through leveraging on our platform.

As the community manager of the Follow the Money project, I found a purpose and this will go a long way in my life. It is all about the community, it is about the people and it is way all about leveraging technology to solves challenges facing the communities.

Like the barrister who approached me in the office one day has said “Knowing about this movement made me find what I really want to do”, I hope to see more people who this will truly be their voice, someday.

Open Data Party has come and gone but the feedback we received from the event which took place in Kano in November 2016 live with us as an organisation. From the event, it was found out that our community champions need more community gathering which will be a follow the money immersive session. Also, we have been receiving requests such as, “how can we follow the money in our states” and we feel more need to reach out to more communities as they are our major focus.

Finally, our zeal to train more community champions to follow the money in their respective states came to reality as we won the One Award in April 2017 and this to us, means more communities empowered and more community champions championing Follow the Money.

We officially kickstarted our training in North East Nigeria as we Follow the Money to Maiduguri, Borno State which is the epicentre of the Boko Haram crisis in Nigeria. The decision to start our training in Maiduguri was borne out of passion for communities to follow the money meant for the rehabilitation of the displaced persons in the region as increase in the inflows of aid is made possible by the Oslo Humanitarian Conference of 2016 so that the funds won’t be mismanaged like the aid gotten in the past years in tune to more than $30bn.   

The North East mapping event, in partnership with Exit Lanes, took place on 17th and 18th of May in Maiduguri. It had a turnout of 138 participants from the six states in the North East region of the country (Borno, Taraba, Gombe, Adamawa, Yobe and Bauchi). In a post evaluation of the 2 -day training, 75% of the total respondents (32 number of them)  said they are now aware of fund flows to their states, where to find the information and how to Follow the Money.

CODEs co-founder, Oludotun Babayemi set the ball rolling on Day 1 by officially opening the training event, setting the event on a high tempo. He spoke extensively and intently about the dangers of not engaging government of which he painted an imaginary picture of what Borno state would be in 2030 if everyone seated in the room got involved. This tempo was however maintained all through the event.

The training sequence had a back to back approach, with adequate time allotted for questions and answers, there was a break after every session for participants to stretch and also give them time to internalise the information received, as well as the ample time to rest before other sessions came up. Tea break availed participants various opportunities to bond and explore areas of strategic interest to them.

Every session was practical, as various dialogue points came out of the questions asked, participants were taken through what Connected Development represents and how they could plug into the various models of the organisation in engaging and emancipating their communities, they were also made to engage in the process of identifying money to follow, hashtagging campaigns and connecting to our social media platforms, the right ways to take videos and pictures during community outreaches was also emphasised and done practically. In addition, the process of visualisation, tracking and advocacy, was emphasised.

On day 2, participants were grouped into their various states (participants from Borno – the host state had 3 groups) to find potential campaigns they could follow in the coming weeks. It was great to know that 7 campaigns were highlighted at the end of the session, with participants showing high interest in following the money of projects already identified.

Follow the Money Team in Fashir Interviewing the community stakeholder

We would not have visited Maiduguri without a community outreach to a rural community. This time we were in Fashir, where a  6 -year old abandoned health facility has been turned into a storehouse, and a shelter for animals. “At one time, we reached out to the contractor of this project, but he told us he could not finish the project because the state government has not provided adequate funding for the completion of the project”. After 1 hour of focus group discussions, the community mobilised themselves and were ready to engage the local government chairman and the state commissioner for health.

24 hours travel on road from Abuja, 138 participants, 2 days of great work, and 7 campaigns can be such an adventure for us at Connected Development, as we look forward to furthering outcomes from the campaigns identified. Moreover, the enthusiasm amongst participants to start their Follow the Money chapter was quite overwhelming, and something to look forward to in the coming months. Wondering when we will be in your state or region? Do join us at http://ifollowthemoney.org to be the first to know.

The follow the Money team was given 20min slot to speak about what we do in two events at the University of Ilorin.

The first event was co-organized by the Canvassity Pan African Youth Democracy and The Post-Graduate School of the Faculty of Life Science Student while the second event which was supposed to hold was organised by Junior Chamber Internation (JCI Unilorin) but, did not later hold due to logistics reason by the organiser (JCI Unilorin)

The theme of the event was “Understanding Democracy: How to Leverage the Power of Technology and Social Media to Engage the Government and Increase Impactful Youth Engagement”.

The event which took place on the 29th of April, 2017 was very strategic for our team as it comes at a time we are planning to reach out to all the geopolitical zones in Nigeria by training them on how to Follow the Money. 

As such, starting from Tertiary Institutions in Nigeria will be instrumental to our work as we intend to reach out to the consciousness of the youth population in the academic community. Engaging this category of youths will drive intellectual change and conversation around development, governance and Transparency & Accountability.

Though the turnout for the event wasn’t as massive as we had earlier thought, but nonetheless – the message got to, and sank deep into the hearts of the participants as they all wanted to leverage on the Follow the Money Platform to empower their respective communities.

“Where have you guys been all this while?” That statement was echoed by the majority of the participants as they were all wowed about what we have been doing.

Akinsuyi who was one of the participants gave his remarks saying “An eye-opening presentation, but I think it is not for someone who wants to live long”.

In his remarks to feedbacks given by Akinsuyi, Busayo Morakinyo of Connected Development engaged him emphasising on the fact that “we cannot all be mute and watch things go by as we all need to be proactive and ask the right questions from the government, so we can all see and achieve the Nigeria of our dreams”

One of the participants who did not want his name in print raised a salient concern as he asked if  Follow the Money would not turn apolitical by the time it gain grounds and I discussed extensively on the nonpartisan traits of the organization and gave him assurance about the fact that we remained firm and resolute on our nonpartisan stand. Also, I was able to let him realised we cannot be a watchdog for the government and at the same time be romancing with them.

While explaining the more, I iterated and let the participant understand that if the organisation was a political one or has a political motive/s, it would not have stood the test of time since 2012 that it was founded. 

The event ended with a good understanding of what we do and how the participants can sign up to be a part of the organisation. More of this training will continue until we are able to reach out to all Tertiary institutions in Nigeria, creating systems and deep-rooted thoughts on transparency and accountability. The event ended with commitments from the participants as they indicated their interest to join our Follow the Money Platform. 

If truly we are serious about Following the Money, then, we should be able to train the next generation of leaders to be proactive and always speak up and most importantly, they too need to start Following the Money.  This is one of the major reasons why we are on the train of training to the tertiary institutions. Look out for our train in the various campuses around Nigeria. We will keep you posted the more, as it is happening.

If you know of any event on social development, transparency and accountability which you would want us to talk about what we do and possible recruitment of Follow the Money enthusiasts, do not hesitate to comment or reach out to our team.

[During one of our townhall meetings at Uratta Umuoha Community, Abia State – a key social accountability strategy through which we have enabled communities organize stakeholder engagements to facilitate the implementation of projects intended for them]

On the 11^th of April 2017, the boardroom of MacArthur Foundation Nigeria was filled with several civil society actors on accountability, transparency and civic engagement. In attendance were over 30 representatives from domestic non-profits who are MacArthur grantees. They were there for a conversation with two accountability scholars, John Gaventa, and Walter Flores. An event in which staffers of MacArthur Foundation Headquarters joined virtually from the United States, the aim was to share ideas and have grantees move from tactical accountability approaches to more strategic approaches. As one of the representatives of Connected Development [CODE], I went in with several expectations which were met.

The conversation started with a presentation, Dancing the TAP Dance: Linking Transparency, Accountability and Participation, by Prof John Ganveta who teaches at the Institute of Development Studies, United Kingdom. He started with sharing key governance issues that led to the rise of accountability and transparency movement globally. Most of them encompass accountability deficit, democratic deficit and impecunious active citizen participation in governance. He then went on explaining how several tools such as ensuring service delivery, improving budgetary processes, ensuring open government, aid transparency and NGO accountability can be utilitarian in addressing these challenges. Addressing these challenges would consequently lead to better services through monitoring, improved democracy, reduced public service corruption, empowerment, human rights, greater access to information and challenging inequality.

Another presentation, Citizen-led Accountability: Power, Politics and Strategies, was by Dr Walter Flores of Center for the Study of Equity and Governance in Health Systems (CEGSS) who took time to share his organization’s works on accountability and challenging inequalities in Guatemala. He emphasised that the roles of transparency and accountability in curbing inequalities include turning citizens from passive to active users of services who can demand accountability from the government. According to him, when they started, they first of all started collecting data on how a particular faction of the society was being marginalized in getting services in drug stores and hospitals. The data was collected through sms, audio/visual evidence and they embarked on advocacy and engaged the government with such evidence for appropriate response. They also created channels of engagement for such citizens to discuss problems and implement solutions.

At a time, politics came into play and they were challenged by governmental authorities for not having the legitimacy to advocate for the communities. They then were forced to decentralize their operations to let citizens and communities lead it through their building capacities. Communities were then organized for monitoring. In a presentation in which he shared most of their successes, he finalized by stating that social accountability is crucial for accountability to work. And that in such work, it’s better to start with community organizing and rights literacy, while collective and participatory interventions, strategies and results are imperative.

After the phenomenal presentations were questions, comments and commitments from organizations present. In line with Dr Flores presentation, I made a remark on the effectiveness of his social accountability strategy which we use at CODE. At CODE, in tracking governmental expenditure in rural communities for service delivery, we start with rights literacy in the concerned communities and co-organize town hall meetings with their community leaders for conversation around the particular projects with implementing governmental agencies and contractors. The town hall meetings have helped to embed community ownership in our works and within the chain of our participatory strategies, communities are empowered to ensure these projects are implemented long after we have pulled out. Also in the same line, for sustainability, decentralization of our strategies and community ownership, we activated ifollowthemoney.org to mobilize young people in these communities to ensure governmental accountability themselves.

The conversation was quintessential and more of it are crucial with respect to capacity building of the civil society and sharing of ideas.

Chambers Umezulike is a Programme Manager at Connected Development and a Development Expert. He spends most of his time writing and choreographing researches on good and economic governance. He tweets via @Prof_Umezulike.

Every year since 1950, the world has celebrated April 7th as World Health Day. So, in essence, we have had over sixty decades of this celebration. The question I ask myself however is “has this yearly celebration impacted Nigerian and indeed global health in any way?”

When I think about the fact that in this age and time, Nigeria is still grappling with communicable diseases as cholera, meningitis and malaria, that Nigeria still contributes 10% to global maternal mortality or that we lose over 2,000 under five year olds daily and I am greatly saddened. Only now are we even beginning to consider tackling non-communicable diseases such as cancer, hypertension, mental illness etc. The picture I see daily of our Health system is that we have had and still have governments who do not care much about the health of its people.

From non-functional Primary Healthcare centers to under-equipped or under-staffed ones to teaching hospitals that may not be readily accessible to the majority of citizens or those that even lack the most basic health facilities or instruments… Every day, the picture is that of doom and depression, which brings me to the theme of this year’s World Health day celebration “depression: let’s talk”.

It is all too important for us to talk about depression in Nigeria because even our health system causes one to be depressed most times! Imagine if you live in a community of over 5,000 inhabitants and there is no functional Primary Healthcare facility in that community, so people in the community have to either recourse to private health facilities where they will have to pay through their noses, further pushing them into poverty or travel long distances to the nearest public health institution (imagine if there was an emergency!).

On another hand, let us even say you do not live in a rural community; you live in a city where all the public health facilities are functional with top line facilities. Alas! A patient is rushed into the hospital on an emergency and is left unattended to until he/she dies or even that there is no doctor to attend to the patient because all doctors are on strike for unpaid salaries or the patient is in need of oxygen and there is no oxygen in the entire hospital. I am certain there are many who can relate to most or all of these scenarios (I can because I have been in some of these situations myself).

women waiting to receive medical care outside a Primary Healthcare Center photo credit: Nigerianeye.com

Beyond all of these instances and storytelling is the fact that there is an urgent need for a revamping of the Nigerian Health system which a lot of health advocates (me included) will argue should begin with putting more money into the health sector. Unarguably, it is true that the Nigerian health sector is largely underfunded but beyond increased funding, there should also be increased transparency in how the funds are being utilized. It is pertinent that before we insist that more money be put in, we demand for explanations and visible proof of how current funds are being expended so that we do not end up funding that same corruption we are claiming to fight by giving it more money in the end.

As citizens, one of the key roles we have to play is in holding our government accountable to its responsibilities. By voting them into power, we sign a social contract with them where we as citizens get to play our part and they as government get to play their part. So, do not just sit back and complain, get involved, get interested in the issues and arm yourself with adequate information, join a community of like-minded people and ACT now!

To join our growing community of activists who are working tirelessly to ensure transparency and accountability in how public funds are being expended, go to www.ifollowthemoney.org and request an invite. Let us work together to change the face of governance and healthcare administration in our beloved country.

Over the last two decades, the issue of climate change and the need for individuals and countries to become more environmental conscious has become a recurring topic with plenty of activities and talks to bring this discussion to the global fore.

One of such activities is the global yearly Earth Hour celebration which is an hourly celebration to ignite the idea of environmental awareness into the minds of people. The celebrations usually consist of various independent activities within an hour when the lights are turned off.

interacting with one of the participants at the event

This year, I had my first experience of Earth Hour celebrations at the CODE event organized at and in partnership with the Hilton hotel, Abuja. This year’s event focused on interacting with the younger generation to get their perspective on the theme as well as ignite their passion towards environmental sustainability. I found this particularly interesting and inspiring as this goes to disrupt the popular cliché that “youths are the leaders of tomorrow”. As a fan of disruptive thinking, I personally think that “youths are the leaders of today” and we are not reminded of this fact often enough. So it was an awesome time, getting to listen to some of the brilliant things the young people had to say.

the students during the panel discussion

Highlights of the event included a panel discussion where students of The Hillside School and The American International school shared some very interesting perspectives into what they thought about Nigeria’s current energy crisis, her role in contributing to climate change via carbon emissions from being unilaterally energy dependent and a heavy user of carbon energy sources such as crude oil and some key recommendations on ways to diversify Nigeria’s energy sources by harnessing the resources abundant in the various regions such as solar and wind energies in the North and hydro power in the South and West. The students also talked about interesting ways they as individuals and their schools were contributing to raise environmental sustainability awareness and changing climate change such as reducing, reusing and recycling materials such as papers, not powering the generator for whole days and researching into generating energy from biological wastes such as urine i.e. biofuel production.

The whole event for me was particularly significant because even though I am very much aware of the fact that climate change is a real issue that affects almost every socio-economic aspect of human life including health, economy and agriculture (which I will talk about in a later post), I really would not consider myself an environmental sustainability activist but after the event, I am positively inspired to be more of an advocate for mother Earth as we should all be. After all, if we do not take care of our Earth, who will?

The saving one million lives Initiative was launched in October 2012, in response to the poor health outcomes in the country especially for mothers and children. Thus,the program is intended to improve the lives of mothers and children through a result based partnership with States ministries of health.

On the 16th of March, the team at CODE met with Dr. Ibrahim Kana the Program manager of Saving One Million Lives Program for Results to get an extensive elucidation of how the program is being run and what it entails.
Dr Ibrahim and his team excitedly aligning us on how ($500 million) credit that had been negotiated by Federal government with World Bank from which $1.5million was disbursed to states and FCT as grants, sought to deliver high impact, evidence based and cost effective health interventions based on 6 ‘pillars’, namely:-

– Maternal, newborn and child health;
– childhood essential medicines and increasing treatment of important childhood diseases;
– improving child nutrition;
– immunization
– malaria control; and
– the prevention of mother to child transmission (PMTCT) of HIV.

He stated that the states were receiving 82% of the money and the program unit is not involved in the spending of the money, also that the SOML Program involves reorienting the discussion of service delivery to results rather than just inputs, establishing a limited set of clear and measurable indicators by which to track success, strengthening data collection so that these indicators can be measured more frequently, bolstering accountability so that managers and health workers at all levels are engaged to achieve better results and fostering innovations that increase the focus on results and include greater openness to working with private sector.

He highlighted that The Program for Result is an approach to structuring of flow of resources to pay for results, outcomes and inputs and under it, states will be rewarded for their performance based on objective indicators using data from household and health facility survey as well as achievement of certain process indicators related to implementation of a performance management system. The program is placed in the Federal Ministry of Health and will be overseen by a Steering Committee chaired by the Honourable Minister of Health and comprising representatives from the state’s commissioner of health which is ultimately responsible for achieving the PforR indicators and ensuring stakeholders’ focus on objectively verified results.
The PforR will provide funds to the federal and state governments based on a set of five Disbursement Linked Indicators (DLIs) which are;

DLI 1.- Increasing Utilization of High Impact Reproductive, Child health and Nutrition Interventions; this will include states producing plans for achieving reductions in Maternal and Under 5 Child mortality, Improvements from states’ baseline on key health indicators such as penta 3 vaccination, insecticides treated nets used by children under 5, contraceptive prevalence rate, Vitamin A coverage, Skilled birth attendance and HIV counselling and testing during antenatal care. Lagging states are also encouraged to strengthen their MNCH weeks as part of an impact evaluation.
DLI 2. – Increasing Quality of High impact Reproductive and Child Health and Nutrition Interventions: This entails states improving the quality of care at primary health care facilities

DLI 3 – Improving Monitoring and Evaluation systems and Data Utilization; by conducting SMART surveys in all 36 states and widely disseminating the results.

DLI 4 – Increasing Utilization and Quality of Reproductive and Child Health and Nutrition Interventions Through Private Sector Innovation: A competitive innovation fund was established that supports innovations for techniques and technologies in health service delivery. This is been headed by the Private Sector Health Alliance of Nigeria.

DLI 5- Increasing Transparency in Management and Budgeting for PHC: States are required to transfer health staff to entity responsible for PHC while produce and publishing a consolidated budget execution report covering all income and expenditures for PHC.

Speaking on the disbursement arrangement, he stated that once state earnings have been determined and verified, the PMU will set in motion the disbursement process. As soon as the World Bank receives a withdrawal application, funds will be disbursed to a dedicated account of the Federal Government for transfer to the accounts states have in Central Bank within 30 days.

The meeting with the Program management unit was very insightful, as a lot of questions we earlier came with were clearly answered but that did not leave us without having a few “asks” and recommendation that we hope will enable us at FollowTheMoney to effectively monitor and track the I.5 million dollars allocated to states.

Recommendations from CODE
Civil Society Organizations be included as part of the Independent Verification Agents
the National Orientation Agency should be carried along in sensitizing the general public about the program.

Specific asks from CODE
we asked to obtain a copy of the State’s Implementation Plans.

Ijeoma Oforka is a Program Officer at Connected Development, with a background in Public Health. She is passionate about advocating for the plights and issues surrounding women and girls health and education. She tweets via @ijoforka